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06-2490 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06=00002490 49100 TANGO CT 646-300-013- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 27000 Architect or Engineer: 4 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/23/06 Owner: SEAN MALONE 49100 TANGO COURT -LA QUINTA, CA 92253 --------------------------------- > -LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: ' OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to ' construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the'Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to'a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to.an owner of property who builds or improves thereon, and who.contract r the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: w Owner.' CONSTRUCTION LENDING AGENCY - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: - Lender's Address: ' LQPERMIT Contractor: A Owner n -=-------------- ----- F_F_1L- ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy er I, certify that, in the performance, thew rk for hich this permit is issued, I shall not employ any person in any manner so as to become ubject the workers' compensation laws of California, and agree that, if I should become subje t to the workers' compensation provisions of Section �/f 700 of the Labor Code, I sh I f rt it amp with those provisions. Date:. f� pplicant: Na WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - conditions and restrictions set forth on this application. ` 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omissionrelated to the workbeing performed under or following issuance of this permAatin 2. Any permit issued as a result of this application be void if work is not commenced within 180 days from date of issuance of such peab n of work for 180'days will subject permit to cancellation. 1 certify that I have read this application and state that the abovis orrect. I agree to comply with all city and county ordinances and state laws relating to building cnd ereby authorize representatives of this co t/Iy`` (,enpt�e_r upon the above-mentioned pro a for io s.Date: • w'Signature (Applicant or Ag' LQPERMIT Application Number . . . . . 06-00002490 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 265.00 Plan'Check Fee 172.25 'Issue Date Valuation . . . . 27000 Expiration Date 12/20/06 Qty Unit Charge Per Extension BASE FEE 252.00 2.00 .6.5000 --------------------------------------------------------------------=------- THOU BLDG 25,001-50,000 13.00 Permit . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation . . . . 0 Expiration_ Date 12/20/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------=-------- EA MECH FURNACE >1OOK ---------------------------------- 11.00 Permit . . ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Expiration'Date 12/20/06 Qty .Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 -------------------------- EA ELEC PRIVATE SWIMMING POOL --------------------------------------------------- 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee .8.25 Issue Date . . Valuation . . . . 0 Expiration Date 12/20/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00' 3.0000 EA PLB-WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS -3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA ALARMS/BARRIERS SHALL BE IN LQPERMIT _o Application Number . . . . . 06-00002490 --.. ------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION EQUIPMENT ENCLOSURES NOT INCLUDED. Fee summary Charged Paid Credited Due -------_-------------- ---------- Permit Fee Total 369.00 .00 ---------- ---------- .00 369.00 - Plan Check Total 198.25 .00 .00 198.25 Grand Total 567.25 .00 .00 567.25 LQPERMIT . Bin # City of La Quinta Building & Safety. Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' Project Address: —f Owner's Name: I A. P. Number: Address: _ co �-� Legal Description: Contractor: w City, ST, Zip: C4 Telephone: Address: Project Description: ��� �• t City, ST, Zip: an ISr Telephone: State Lie. # : City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person:i�%'c�.[%di7L.L. Construction Type: Occupancy: Project type (circle one): ew Add'n Alter Repair Demo Sq. Ft : Co ZS" . #Stories: #Units: Telephone # of Contact Person: %�p©—�� �. 700 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING _ PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading. plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person p,I,p,p, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CITY OF LA QUINTA SUB -,CONTRACTOR LIST _ JOB ADDRESS ._ �O %V 8cou�PERMIT NUMBER i OWNER V\_ [Q��-e, BUILDER This form shall be posted on the job with the Building Inspection Card at -all times in a conspicuous dace. Only persons appearing on this list or their employees are authorized to work on this ob Any changes to this list must be approved by the Building Division prior to commencement of work. Failure .to ,comply will result in a stoppage of work and/or the voidance 1 f buildingpermit. For each applicable trade, all information requested below must be completed by applicant. "On -file is not an acceptable response. P::...:::::...:::::.:.::.:..:..:::::.::.::::.:::::::. . .........::::::.::::::::..:.........................:..:..:::::.:...:............... ..: ......:.:::,.:.:.:..............................:.::::.:::... 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Sk and Spin ab A RE-INSW/110N FEE -6 $30 1 5 vv 'RGED IF THE APPROVED PLANS.AN JOB CARD ARE UOT ON v WL UCUE, THE SITE FOR A SCHOULED INSPECTIO N EXCEPTIONS! teps .7 C' OF LA QUINTA - — ---------- -------- MALO'NE: BUIPING & SAFETY DEPT. Wad Pj+;. PPROVFD f%" '�- ` R'E 8 1 D E N CONST ucnoN m -(,a , 9�, d J U LY 9. 4 0 " 4 I I U-k,414�5 c=0 mi ), OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more.for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you,must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. J For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 922 (760) 777-7012 FAX: (760) 777-70W OWNER'S SIGNATURE/DATE PROPERTY ADDRESS 06 10141 PERMIT NUMBER(S)